Pub Date : 2019-01-01DOI: 10.1504/ijhtm.2019.10026703
S. Hung, M. Nakayama, Charlie C. Chen, Fang Lan Tsai
Electronic medical record (EMR) systems are complex, organisational-wide information systems involving stakeholders in various medical fields and responsibilities. Assessing the usefulness of EMR, therefore, is not straightforward. Using SERVQUAL, this study assesses the relationship between perceived EMR service quality and the perceived usefulness (subjective belief), expectation (judgment), and satisfaction (affect) of EMR systems. Data were obtained from 338 physicians in ten medical centres and 15 regional hospitals in Taiwan. The results show that physicians' perceived EMR service quality has a much stronger effect on non-affect outcomes than on an affect-based antecedent like satisfaction. Due to the complexity of EMRs, a beneficial assessment of EMRs requires the clinical experience of individual physicians and organisational perspective on how EMRs facilitate their tasks.
{"title":"Physician perceptions of electronic medical records: the impact of system service quality, and generation/experience gaps","authors":"S. Hung, M. Nakayama, Charlie C. Chen, Fang Lan Tsai","doi":"10.1504/ijhtm.2019.10026703","DOIUrl":"https://doi.org/10.1504/ijhtm.2019.10026703","url":null,"abstract":"Electronic medical record (EMR) systems are complex, organisational-wide information systems involving stakeholders in various medical fields and responsibilities. Assessing the usefulness of EMR, therefore, is not straightforward. Using SERVQUAL, this study assesses the relationship between perceived EMR service quality and the perceived usefulness (subjective belief), expectation (judgment), and satisfaction (affect) of EMR systems. Data were obtained from 338 physicians in ten medical centres and 15 regional hospitals in Taiwan. The results show that physicians' perceived EMR service quality has a much stronger effect on non-affect outcomes than on an affect-based antecedent like satisfaction. Due to the complexity of EMRs, a beneficial assessment of EMRs requires the clinical experience of individual physicians and organisational perspective on how EMRs facilitate their tasks.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"1 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66973810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.1504/ijhtm.2019.10026711
Riaz A. Khan, A. H. Mir
Modern healthcare systems use wearable sensor devices that facilitate the data aggregation which is used for real time patient monitoring. The scenario may be static or a mobile healthcare system where the mobility of a patient can be tracked inside the hospital premises. For this reason, the hospital wireless network needs to be equipped with an efficient mobility management scheme that enables the transmission of aggregated data without loss and delay to the monitoring station. In this context, this paper proposes a mobility scheme based on the PMIPv6 protocol that utilises pre-registration feature of FMIPv6 to trigger the handover process, which helps in reducing the hand-off (HO) delay and eventually leads to the reduced packet loss. The proposed scheme is analysed theoretically first, followed by its evaluation using NS2 simulator. Data results depict that the proposed scheme outperforms the traditional PMIPv6 in terms of HO-delay, packet loss and signalling cost.
{"title":"IP mobility adoption in e-health services: a solution to modern healthcare monitoring system","authors":"Riaz A. Khan, A. H. Mir","doi":"10.1504/ijhtm.2019.10026711","DOIUrl":"https://doi.org/10.1504/ijhtm.2019.10026711","url":null,"abstract":"Modern healthcare systems use wearable sensor devices that facilitate the data aggregation which is used for real time patient monitoring. The scenario may be static or a mobile healthcare system where the mobility of a patient can be tracked inside the hospital premises. For this reason, the hospital wireless network needs to be equipped with an efficient mobility management scheme that enables the transmission of aggregated data without loss and delay to the monitoring station. In this context, this paper proposes a mobility scheme based on the PMIPv6 protocol that utilises pre-registration feature of FMIPv6 to trigger the handover process, which helps in reducing the hand-off (HO) delay and eventually leads to the reduced packet loss. The proposed scheme is analysed theoretically first, followed by its evaluation using NS2 simulator. Data results depict that the proposed scheme outperforms the traditional PMIPv6 in terms of HO-delay, packet loss and signalling cost.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"1 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66974005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.1504/ijhtm.2019.10026709
K. Silander, Anna Särkilahti, P. Torkki, A. Peltokorpi, M. Tarkkanen, M. Kaila
Mass customisation and modularisation are considered means to enhance patient-centredness and control increasing healthcare expenditures. The purpose of this study is to identify existing knowledge regarding the application of mass customisation and modularisation in healthcare delivery while focusing specifically on outcomes. A scoping review was conducted with various combinations of search terms using Scopus. Nearly 2,000 studies were identified of which 18 met inclusion criteria. Patient experience, customisation, and the economic impact on service delivery were analysed. Mass customisation and modularisation may be applicable in healthcare. The model may increase patient satisfaction. However, more knowledge of the outcomes of mass customisation is needed. As the number of studies in this area is limited, more empirical mixed methods research on the implementation and outcomes of mass customisation is needed to understand the expected benefits and to determine the possible effects on patient satisfaction and financial implications.
{"title":"Perspectives of mass customisation and modularisation in health service delivery: a scoping review","authors":"K. Silander, Anna Särkilahti, P. Torkki, A. Peltokorpi, M. Tarkkanen, M. Kaila","doi":"10.1504/ijhtm.2019.10026709","DOIUrl":"https://doi.org/10.1504/ijhtm.2019.10026709","url":null,"abstract":"Mass customisation and modularisation are considered means to enhance patient-centredness and control increasing healthcare expenditures. The purpose of this study is to identify existing knowledge regarding the application of mass customisation and modularisation in healthcare delivery while focusing specifically on outcomes. A scoping review was conducted with various combinations of search terms using Scopus. Nearly 2,000 studies were identified of which 18 met inclusion criteria. Patient experience, customisation, and the economic impact on service delivery were analysed. Mass customisation and modularisation may be applicable in healthcare. The model may increase patient satisfaction. However, more knowledge of the outcomes of mass customisation is needed. As the number of studies in this area is limited, more empirical mixed methods research on the implementation and outcomes of mass customisation is needed to understand the expected benefits and to determine the possible effects on patient satisfaction and financial implications.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"1 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66973927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.1504/ijhtm.2019.10026698
C. Papanagnou, Pearce Madhlambudzi
The lack of systematic processes for stakeholder identification and the omission of key stakeholders in UK hospitals cause significant delays in purchasing processes. This is reinforced by the strict tender processes that follow in making their purchases as a matter of assurance of fairness and competition. This paper presents a descriptive analysis of decision-making processes when the public hospitals purchase diagnostic equipment and it discovers how the hospitals use stakeholder identification and salience during the purchase of diagnostic equipment. With the aid of purposeful case studies and semi-structured interviews, we explore how stakeholder salience is concentrated on the administrative personnel who have the role to implement organisational policy and on technical experts who make sure that the right equipment is bought. Last, this study provides an insight into how stakeholder groups share the premises of the public hospitals' decision-making process by considering the attributes of power, urgency, legitimacy and proximity.
{"title":"Stakeholder identification and salience in purchasing: an empirical study from UK hospitals","authors":"C. Papanagnou, Pearce Madhlambudzi","doi":"10.1504/ijhtm.2019.10026698","DOIUrl":"https://doi.org/10.1504/ijhtm.2019.10026698","url":null,"abstract":"The lack of systematic processes for stakeholder identification and the omission of key stakeholders in UK hospitals cause significant delays in purchasing processes. This is reinforced by the strict tender processes that follow in making their purchases as a matter of assurance of fairness and competition. This paper presents a descriptive analysis of decision-making processes when the public hospitals purchase diagnostic equipment and it discovers how the hospitals use stakeholder identification and salience during the purchase of diagnostic equipment. With the aid of purposeful case studies and semi-structured interviews, we explore how stakeholder salience is concentrated on the administrative personnel who have the role to implement organisational policy and on technical experts who make sure that the right equipment is bought. Last, this study provides an insight into how stakeholder groups share the premises of the public hospitals' decision-making process by considering the attributes of power, urgency, legitimacy and proximity.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"1 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66973706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.1504/IJHTM.2019.10018780
Outi Tuominen, Heljä Lundgrén-Laine, Mervi Flinkman, Sirkku Boucht, S. Salanterä
Rescheduling to cover the sudden absences of nursing staff members is a time-consuming part of a nurse manager's daily work. The use of information technology-based (IT-based) staffing solutions is a potential solution to this issue. In order to address this challenge and improve the rescheduling process, this scoping review was created to identify, describe and analyse published papers focused on nursing staff rescheduling. The papers were analysed from the perspectives of nursing staff, patient care and organisational outcomes in hospital settings. The results showed that using IT-based staffing solutions for rescheduling can reduce both organisations' staffing costs and nurse managers' work tasks. Patient care consequences related to such solutions were not described in the reviewed papers. However, floating may also have an impact on the quality of patient care due to the mixing of nursing staff members' professional roles and skills. There is also a need for additional information about the usability of IT-based staffing solutions.
{"title":"Rescheduling nursing staff with information technologybased staffing solutions: a scoping review","authors":"Outi Tuominen, Heljä Lundgrén-Laine, Mervi Flinkman, Sirkku Boucht, S. Salanterä","doi":"10.1504/IJHTM.2019.10018780","DOIUrl":"https://doi.org/10.1504/IJHTM.2019.10018780","url":null,"abstract":"Rescheduling to cover the sudden absences of nursing staff members is a time-consuming part of a nurse manager's daily work. The use of information technology-based (IT-based) staffing solutions is a potential solution to this issue. In order to address this challenge and improve the rescheduling process, this scoping review was created to identify, describe and analyse published papers focused on nursing staff rescheduling. The papers were analysed from the perspectives of nursing staff, patient care and organisational outcomes in hospital settings. The results showed that using IT-based staffing solutions for rescheduling can reduce both organisations' staffing costs and nurse managers' work tasks. Patient care consequences related to such solutions were not described in the reviewed papers. However, floating may also have an impact on the quality of patient care due to the mixing of nursing staff members' professional roles and skills. There is also a need for additional information about the usability of IT-based staffing solutions.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"1 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66973284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-22DOI: 10.1504/IJHTM.2018.10012963
Ryan T. DeForge, A. Snowdon, M. Macleod
This study examined how a hand washing compliance auditing system affects physician hand washing compliance and rates of hospital acquired infections. Ultimately, data collection was significantly impaired by low recruitment and compliance rates. To learn from this project's failure, medical residents were invited to participate in an interview to discuss the project, its merits and shortcomings. Beyond existing resistance to such surveillance, study procedures, confounding contextual variables and insufficient value propositions seem to account for the project's failure. Use of a hand washing compliance auditing system is likely to fail if it is not optimally integrated into existing clinical workflows and hospital infrastructure, or if auditing seems to take the form of surveillance. Beyond the establishment of proof of concept, proof of relevance and value for all stakeholder groups must be established to embed an innovation such as this hand washing compliance auditing system.
{"title":"Learning from failure: inadequate value propositions in an innovative approach to patient safety using a hand washing compliance auditing system","authors":"Ryan T. DeForge, A. Snowdon, M. Macleod","doi":"10.1504/IJHTM.2018.10012963","DOIUrl":"https://doi.org/10.1504/IJHTM.2018.10012963","url":null,"abstract":"This study examined how a hand washing compliance auditing system affects physician hand washing compliance and rates of hospital acquired infections. Ultimately, data collection was significantly impaired by low recruitment and compliance rates. To learn from this project's failure, medical residents were invited to participate in an interview to discuss the project, its merits and shortcomings. Beyond existing resistance to such surveillance, study procedures, confounding contextual variables and insufficient value propositions seem to account for the project's failure. Use of a hand washing compliance auditing system is likely to fail if it is not optimally integrated into existing clinical workflows and hospital infrastructure, or if auditing seems to take the form of surveillance. Beyond the establishment of proof of concept, proof of relevance and value for all stakeholder groups must be established to embed an innovation such as this hand washing compliance auditing system.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"17 1","pages":"61"},"PeriodicalIF":1.0,"publicationDate":"2018-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46687671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-22DOI: 10.1504/IJHTM.2018.10012956
Bhawna Singh, Rushina Singhi
This paper analyses the impact of SERVQUAL on overall satisfaction and brand loyalty in the healthcare industry. SERVQUAL is a standard instrument consisting of five dimensions namely reliability, empathy, responsiveness, tangibility and assurance for measuring functional service quality. The study has been initiated by conducting a survey of various hospitals of Delhi NCR. A conceptual model is designed and confirmatory test of the model is done by using the confirmatory factor analysis technique. Structural equation modelling (SEM) using AMOS 4.0, a software program is used to analyse the causal relationship between SERVQUAL, overall satisfaction and brand loyalty. The outcome arrives that SERVQUAL has a positive effect on overall satisfaction and overall satisfaction also has a positive effect on brand loyalty.
{"title":"SERVQUAL impact on overall satisfaction and brand loyalty: an empirical study in Delhi-NCR hospitals","authors":"Bhawna Singh, Rushina Singhi","doi":"10.1504/IJHTM.2018.10012956","DOIUrl":"https://doi.org/10.1504/IJHTM.2018.10012956","url":null,"abstract":"This paper analyses the impact of SERVQUAL on overall satisfaction and brand loyalty in the healthcare industry. SERVQUAL is a standard instrument consisting of five dimensions namely reliability, empathy, responsiveness, tangibility and assurance for measuring functional service quality. The study has been initiated by conducting a survey of various hospitals of Delhi NCR. A conceptual model is designed and confirmatory test of the model is done by using the confirmatory factor analysis technique. Structural equation modelling (SEM) using AMOS 4.0, a software program is used to analyse the causal relationship between SERVQUAL, overall satisfaction and brand loyalty. The outcome arrives that SERVQUAL has a positive effect on overall satisfaction and overall satisfaction also has a positive effect on brand loyalty.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":" ","pages":"29"},"PeriodicalIF":1.0,"publicationDate":"2018-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48560865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-22DOI: 10.1504/IJHTM.2018.10012955
Jamil Razmak, Charles H. Bélanger
Focusing on the patient-physician electronic relationship, this empirical study was conducted to explore certain personal traits and psychological factors that can influence behavioural attitude toward adopting a patient portal. Statistical tests were used to compare the answers of physicians and patients and to test patients' dispositions toward technology. The results revealed significant differences among physicians and patients with respect to the purpose of website referrals. With the exception of the education level, the findings indicated that age, sex and ethnicity did not significantly influence participants' attitudes. The three psychological factors used in the regression model turned out to be significant predictors of participants' behavioural attitude toward adopting the patient portal. Based on these results, e-health applications require a long-term investment in technology generation to develop a new education system that supports these online platforms; this strategy, along with adequate support from healthcare providers, will produce the most effective results.
{"title":"Management of techno-psychological factors influencing the patient-physician electronic relationship","authors":"Jamil Razmak, Charles H. Bélanger","doi":"10.1504/IJHTM.2018.10012955","DOIUrl":"https://doi.org/10.1504/IJHTM.2018.10012955","url":null,"abstract":"Focusing on the patient-physician electronic relationship, this empirical study was conducted to explore certain personal traits and psychological factors that can influence behavioural attitude toward adopting a patient portal. Statistical tests were used to compare the answers of physicians and patients and to test patients' dispositions toward technology. The results revealed significant differences among physicians and patients with respect to the purpose of website referrals. With the exception of the education level, the findings indicated that age, sex and ethnicity did not significantly influence participants' attitudes. The three psychological factors used in the regression model turned out to be significant predictors of participants' behavioural attitude toward adopting the patient portal. Based on these results, e-health applications require a long-term investment in technology generation to develop a new education system that supports these online platforms; this strategy, along with adequate support from healthcare providers, will produce the most effective results.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"17 1","pages":"29"},"PeriodicalIF":1.0,"publicationDate":"2018-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48110174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-22DOI: 10.1504/IJHTM.2018.10012954
Konstantinos Koumaditis, T. Hussain
When designed and managed properly, personal health records (PHRs) are valuable tools that can reform healthcare systems. Yet while the PHR literature covers multidiscipline cases on design requirements, implementations and early positive results, it also echoes concerns related to the undelivered potential and challenges tied to PHRs. Consequently, a vast body of literature exists with unclear themes and blurred lines between perception, realisation and outcome. This paper exposes dominant research themes in PHR research and aids the understanding of this developing field. Our bibliographic analysis of 524 papers published from 2000 to 2015 revealed a core set of 61 publications. Interesting identified themes include the operation of PHRs with emphasis on innovation, prototypes and governance, as well as the impact of PHRs on specific medical conditions, healthcare processes and sociotechnical issues. Design issues were also exposed focusing on user requirements, design elements and technologies and lessons learned through empirical cases.
{"title":"Personal healthcare records research: past, present and new dimensions","authors":"Konstantinos Koumaditis, T. Hussain","doi":"10.1504/IJHTM.2018.10012954","DOIUrl":"https://doi.org/10.1504/IJHTM.2018.10012954","url":null,"abstract":"When designed and managed properly, personal health records (PHRs) are valuable tools that can reform healthcare systems. Yet while the PHR literature covers multidiscipline cases on design requirements, implementations and early positive results, it also echoes concerns related to the undelivered potential and challenges tied to PHRs. Consequently, a vast body of literature exists with unclear themes and blurred lines between perception, realisation and outcome. This paper exposes dominant research themes in PHR research and aids the understanding of this developing field. Our bibliographic analysis of 524 papers published from 2000 to 2015 revealed a core set of 61 publications. Interesting identified themes include the operation of PHRs with emphasis on innovation, prototypes and governance, as well as the impact of PHRs on specific medical conditions, healthcare processes and sociotechnical issues. Design issues were also exposed focusing on user requirements, design elements and technologies and lessons learned through empirical cases.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"17 1","pages":"1"},"PeriodicalIF":1.0,"publicationDate":"2018-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44599693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-22DOI: 10.1504/IJHTM.2018.10012986
Deepak Kumar Behera, U. Dash
This study explores the relationship over an extended period of time between an increase in per capita public health expenditure and per capita state's domestic product (per capita income) of 16 states of India from 1980 to 2014. We consider eight panels of states based on geographical region and levels of economic development for examining the level of heterogeneity in the share of public health expenditure with respect to states' domestic product by using panel unit root, panel co-integration and panel Granger causality techniques. The empirical result shows that public health expenditure and states' domestic product are co-integrated in the long-run. The result also shows a positive and significant effect of per capita income in the growth of public health expenditure in the long-run. It finds that there is a bi-directional Granger causality between per capita income and public health expenditure in the short-run while the causality is unidirectional in the long-run. The overall result implies the existence of inequalities in the share of government health expenditure with respect to state's level of economic development in India. This study would offer effective fiscal policy instruments to minimising geographical inequity of health finance for achieving universal health coverage of Indian states.
{"title":"Examining the state level heterogeneity of public health expenditure in India: an empirical evidence from panel data","authors":"Deepak Kumar Behera, U. Dash","doi":"10.1504/IJHTM.2018.10012986","DOIUrl":"https://doi.org/10.1504/IJHTM.2018.10012986","url":null,"abstract":"This study explores the relationship over an extended period of time between an increase in per capita public health expenditure and per capita state's domestic product (per capita income) of 16 states of India from 1980 to 2014. We consider eight panels of states based on geographical region and levels of economic development for examining the level of heterogeneity in the share of public health expenditure with respect to states' domestic product by using panel unit root, panel co-integration and panel Granger causality techniques. The empirical result shows that public health expenditure and states' domestic product are co-integrated in the long-run. The result also shows a positive and significant effect of per capita income in the growth of public health expenditure in the long-run. It finds that there is a bi-directional Granger causality between per capita income and public health expenditure in the short-run while the causality is unidirectional in the long-run. The overall result implies the existence of inequalities in the share of government health expenditure with respect to state's level of economic development in India. This study would offer effective fiscal policy instruments to minimising geographical inequity of health finance for achieving universal health coverage of Indian states.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"17 1","pages":"75"},"PeriodicalIF":1.0,"publicationDate":"2018-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48167157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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